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California gion Analysis + <br /> ,,�r.,� _-- -- For Lancaster Laboratorles usa only r* 0 10 <br /> �J <br /> +Lai ll. ster���� �r' # 05(0 Sample t <br /> MerequafftyjsaSMXe Ci <br /> E`lu'47-'L\ & not" q til 11,21 -2(a Analyses Requested <br /> Preservation Codes Preservative Codes <br /> Facility# H=HCI T=Thiosulfate <br /> Site Address c,-* R N H H�SO B=NaOH <br /> S= a O=Other <br /> Chevron PM �� *�� Lead Consultant. S P �' 0 value report<np needed <br /> ConsultaWOtFice <br /> Must meet lowest detection limits <br /> c � a possible!or 8260 compounds <br /> Consultant Prj Mgr ° <br /> # Q� O c 0 oD © 6021 MTBE Confirmation <br /> Fax <br /> Consultant Phone# t v ❑Confirm highest hit by 8260 <br /> Sampler tLar.L'I 5 Z A U m E m m <br /> Q Confine all hits by 8260 <br /> Service Order# -0 No SAR ° p Run,oxy's on highest hit <br /> CL + <br /> Field Repeat Top Time New T a o [:]Run oxy's on allhAs <br /> o <br /> n Na Matn 5 m I t Year nth ll Field Pt 0 °4 °° Comments 1 Remarks <br /> l <br /> 02 16c) <br /> I a/U I <br /> Ji N 117.4 <br /> _ O <br /> Ir <br /> uished by 4atTime Re by D to Tana <br /> round Time Requested(TAT)(please arcle) pO <br /> TD TAT 72 hour 48 hour Ra d by1 Time Received Date Time <br /> 2 4 day 5 day % 1�r <br /> elinqumsh by Date Time Received by Date Time <br /> Data Package Options(please circle if required) <br /> QC Summary Type I--Full Relinquished by Com leer Received by Date Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed uP edEx Other <br /> WIP(RWQCB) <br /> perature Upon Receipt C° Custody Seals Intact? Yes No <br /> Disk Fem <br /> 3460 Rev 10104/01 <br /> Lancaster Laboratories,Inc 2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />